A school-aged child is admitted to the hospital with a vaso-occlusive sickle cell crisis. Which measure in the child's care plan should be given priority?

Encouraging the child to take deep breaths hourly

Maintaining fluids through an intravenous line

Beginning active range-of-motion exercises

Seeing that the child ingests a protein-rich diet

Answer and Explanation

The Correct Answer is B

A. Encouraging deep breathing is important for preventing pulmonary complications but is not the priority in managing a vaso-occlusive crisis.

B. Maintaining hydration through intravenous fluids is the priority as it helps to reduce blood viscosity and prevent further sickling of cells, which is critical in managing a vaso-occlusive crisis.

C. Active range-of-motion exercises are important but are not a priority during an acute vaso-occlusive crisis.

D. A protein-rich diet supports overall health but is not immediately relevant to the acute management of a vaso-occlusive crisis.

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Correct Answer is C

Explanation

A. This statement is incorrect; effective asthma management should help the child attend school regularly rather than miss fewer days.

B. Coughing and shortness of breath in the morning usually indicate poor asthma control, not good control.

C. Eliminating allergens that irritate the lungs is an effective strategy for asthma management and prevention of attacks.

D. Proper asthma management should allow participation in physical activities, not exclude the child from them.

A. Clear drainage from the affected ear B. Pain when manipulating the affected ear lobe C. Erythema and edema of the affected ear D. Tugging on the affected ear lobe

Correct Answer is D

Explanation

A. Clear drainage from the ear is more indicative of a ruptured tympanic membrane or an external ear infection (otitis externa) rather than otitis media.

B. Pain when manipulating the earlobe is associated with otitis externa, not otitis media.

C. Erythema and edema of the outer ear may occur with otitis externa but are not common in otitis media, which affects the middle ear.

D. Tugging on the ear is a common sign of discomfort in children with otitis media due to pressure and pain in the middle ear.

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A school-aged child is admitted to the hospital with a vaso-occlusive sickle cell crisis. Which measure in the child's care plan should be given priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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